Dedicated team player seeking opportunity within people-focused organization to utilize extensive customer service expertise in demanding environments for driving corporate success.
Overview
17
17
years of professional experience
Work History
Patient Services Coordinator
Eversana
Mason
06.2023 - Current
Managed inbound and outbound calls with patients, providers, and insurance companies to ensure effective communication and support
Verified patient eligibility and benefit coverage to facilitate provider access to necessary services
Upload patient's benefit verification and authorization to case file
Coordinated initiation of prior authorizations and predeterminations for providers to streamline patient care processes
Member Services Representative
Amerihealth Caritas
03.2022 - 11.2022
Managed inbound and outbound calls to address inquiries from members and providers
Confirmed benefit coverage for members and providers to ensure proper access to services
Verify eligibility of members with providers
Verify authorizations and referrals for procedures
Assisted members and providers with claims processes, facilitating resolution of issues
Claims Specialist
Advocate Radiology
04.2020 - 08.2021
Verified insurance coverage for patients to facilitate timely processing of claims
Verified authorization status for procedures to confirm eligibility for services
Audited medical claims for radiology services to ensure compliance and accuracy
Correspond with patients and providers through phone, fax and email
Collections Coordinator
Cardinal Health
06.2019 - 06.2020
Corresponded with clients via phone, fax, and email to resolve inquiries and facilitate payments
Facilitated financial arrangements for payments
Researched issues with invoices and credit memos to identify discrepancies and propose solutions
Audited invoices for shipments of medical supplies and equipment, ensuring accuracy and compliance
Dispatched copies of invoices and financial statements
Customer Service Representative
Bioscrip Pharmacy Services
03.2016 - 09.2017
Managed incoming and outgoing calls to assist patients and providers.
Collected copayments from patients, facilitating smooth transaction processes.
Verify insurance coverage for patients
Filled orders for medication and supplies, ensuring accuracy and timeliness for patient needs.
Sent faxes and emails to members and providers to ensure timely communication.
Transfer all after hours calls to the On-Call representatives
OSC Associate I & II
York Risk Services
06.2012 - 10.2015
Managed inbound and outbound calls to support claim inquiries and reporting
Provided claim information and gathered claim reports to facilitate processing
Corresponded via email and telephone with claims adjusters to ensure timely communication
Prepared, scanned, and indexed worker's compensation claims for efficient processing.
Training new employees
Call Center Representative
NCO Financial Services
02.2009 - 10.2011
Delivered customer support by addressing inquiries and resolving issues to enhance customer satisfaction.
Managed inbound and outbound calls to ensure efficient communication and service delivery.
Work with UPS Freight sales representatives
Accounts Receivables for UPS Freight
Set up payment arrangements
Email and fax invoices
Conducted training sessions for new employees to onboard effectively and improve team performance.